Butz M, Anders A, Schmidt W
Res Exp Med (Berl). 1978 Mar 20;172(2):123-9. doi: 10.1007/BF01851402.
End-to-end anastomosis of the kidney vessels and ureter can easily be done without suture. Artery and ureter are connected via an intraluminal silicone tube, anastomosis of the vein is performed with a cuff-technique. In case of orthotopic transplantation the left kidney is transplanted to the right side after right nephrectomy. Furthermore heterotopic transplantation was tried: kidney vessels were either connected with jugular or femoral vessels. In contrast to orthotopic transplantation higher thrombosis rate was observed, probably due to varying sizes of donor and recipient vessels. Our method of orthotopic autotransplantation is easier, less time consuming and has a lower complication rate than homologous kidney transplantation with suture techniques.
肾脏血管和输尿管的端端吻合可不通过缝合轻松完成。动脉和输尿管通过腔内硅胶管相连,静脉吻合采用袖套技术。在原位移植的情况下,右肾切除术后将左肾移植到右侧。此外,还尝试了异位移植:肾脏血管与颈静脉或股血管相连。与原位移植相比,观察到更高的血栓形成率,这可能是由于供体和受体血管大小不同所致。我们的原位自体移植方法比采用缝合技术的同种肾移植更容易、耗时更少且并发症发生率更低。